[Form 4] MEDICAL PROPERTIES TRUST INC Insider Trading Activity

Rhea-AI Filing Summary

Medical Properties Trust, Inc. (MPW) reported an insider withholding of stock to cover taxes: 80,644 shares of common stock were withheld from a restricted stock vesting event on 10/07/2025 at an indicated price of $5.01 per share. The filing, by Chairman, President & CEO Edward K. Aldag Jr., shows his beneficial ownership after the withholding is 5,274,012 shares, held directly. The entry is coded as F with an explanatory note stating the shares were withheld to satisfy tax withholding obligations and that this withholding "does not constitute a sale transaction." The Form 4 was signed by power of attorney and records this non‑dispositive, routine withholding tied to restricted stock vesting.

Positive

• Routine tax withholding on vested restricted stock rather than a sale indicates no immediate insider cash‑out
• Substantial ongoing ownership: reporting person retains 5,274,012 shares after the withholding

Negative

• Small reduction in reported shares (80,644) reduces direct share count, though not a sale
• Filing executed by power of attorney, which can obscure direct signature timing (administrative detail)

Insights

Corporate Governance Analyst

Insider tax withholding from restricted stock occurred; ownership remains sizable.

The filing documents a routine withholding of 80,644 shares to meet tax obligations arising from restricted stock vesting on 10/07/2025. The transaction is coded F and explicitly described as a tax withholding rather than a market sale, so it does not change the reporting person's economic exposure in the form of vested shares retained by the insider.

Because the reporting person still beneficially owns 5,274,012 shares, monitor future Form 4 entries for any sales or transfers that would materially change that stake; absent such entries, this event is administrative and not an indicator of changed corporate governance stance in the near term.

Equity Transactions Specialist

Withholding value is modest relative to total holding but shows taxable vesting.

The withheld 80,644 shares at $5.01 imply a gross notional of $404,000 (calculated from reported share count and price), representing a tax settlement from vested restricted stock rather than a liquidity-driven sale. The Form clarifies this is not a disposition for cash proceeds.

Investors tracking insider activity should note the distinction between withholding and sale; review subsequent filings for any cash sales, option exercises, or additional vesting events within the next 90 days for a fuller picture of insider liquidity behavior.

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
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hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Aldag Edward K JR

(Last) (First) (Middle)

1000 URBAN CENTER DRIVE

SUITE 501

(Street)

BIRMINGHAM AL 35242

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
MEDICAL PROPERTIES TRUST INC [ MPW ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director		10% Owner
X	Officer (give title below)		Other (specify below)
	Chairman, President & CEO

3. Date of Earliest Transaction (Month/Day/Year)
10/07/2025

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common stock, par value $0.001	10/07/2025		F		80,644(1)	D	$5.01	5,274,012	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Represents shares withheld upon vesting of restricted stock to satisfy tax withholding obligations. This does not constitute a sale transaction.

	W. Zachary Riddle, by power of attorney	10/07/2025
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

FAQ

What did MPW insider Edward K. Aldag Jr. report on Form 4?

The filing shows 80,644 shares were withheld upon restricted stock vesting to satisfy tax withholding obligations; this is not a sale.

When did the withholding transaction occur for MPW?

The transaction date reported is 10/07/2025.

What price is listed for the withheld MPW shares?

The Form 4 lists a price of $5.01 per share associated with the withholding.

How many MPW shares does the reporting person own after the withholding?

After the withholding, beneficial ownership is reported as 5,274,012 shares (direct ownership).

Does the Form 4 indicate a sale of MPW shares?

No; the explanatory note states the shares were withheld to satisfy tax obligations and explicitly says this "does not constitute a sale transaction."